Individual
MS. ANDREAS BOLLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1098 W BALTIMORE PIKE, SUITE 3403, MEDIA, PA 19063-5139
(610) 627-4490
(610) 627-4477
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD068718L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001894918
—
PA
Enumeration date
07/21/2005
Last updated
04/14/2017
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